Individual
BRADLEY EUGENE BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 CAMBRIDGE STREET, DEPT. OF EMERGENCY MEDICINE, MAILSTOP 1019, KANSAS CITY, KS 66160
(913) 588-6504
(913) 588-9104
Mailing address
4000 CAMBRIDGE STREET, DEPT. OF EMERGENCY MEDICINE, MAILSTOP 1019, KANSAS CITY, KS 66160
(913) 588-6504
(913) 588-9104
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2002005826
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100449920A
—
KS
05
—
100449920F
—
KS
05
—
100449920G
—
KS
05
—
100449920H
—
KS
05
—
205849706
—
MO
01
—
31133012
BCBS
—
01
—
930119238
RAILROAD MEDICARE
—
Enumeration date
06/30/2006
Last updated
08/22/2022
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